Individual
ADA JULIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3395 SIXES RD STE 140, CANTON, GA 30114-9119
(770) 720-0079
Mailing address
245 GRAND CENTRAL WAY, CARTERSVILLE, GA 30120-4103
(770) 608-1937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN122261
GA
Other
Enumeration date
05/22/2019
Last updated
09/10/2021
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